NPIMap

Organization Active NPI

Hope Haven

  • Substance Abuse Rehabilitation Facility
  • Madison, WI
National Provider Identifier
1215375472
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
115813-131 Issued in WI
Legal business name
HOPE HAVEN
Practice address
3602 Memorial Dr
Madison, WI 53704-1106
Phone
(608) 249-2600
Fax
(608) 242-0021
NPI assigned
Jun 10, 2013
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marcia Marie Leaser, SAC
Title
Substance Abuse Counselor
Phone
(608) 577-3112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 115813-131 WI Primary

Addresses

Primary practice location

3602 Memorial Dr
Madison, WI 53704-1106

Mailing address

3602 Memorial Dr
Madison, WI 53704-1106
Phone (608) 249-2600

National Provider Directory

National Provider Directory
Tax ID family
Marquette Chemical Dependency Service3 organizations share this tax ID, including this one
Part of
Marquette Chemical Dependency Service

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1215375472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 MEMORIAL DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537041106",
            "telephone_number": "608-249-2600",
            "fax_number": "608-242-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 MEMORIAL DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537041106",
            "telephone_number": "608-249-2600",
            "fax_number": "608-242-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HAVEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "LEASER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "608-577-3112",
        "authorized_official_credential": "SAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": "115813-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.